What is omental infarction?

Q:
What is omental infarction?
A:
Omental infarction is a rare cause of acute abdomen. It typically simulates acute  appendicitis and includes abdominal pain of a few days’ duration. This condition has a non-specific clinical presentation. Omental infarction occurs in a fair number of pediatric patients (approximately 15% of cases).

Symptoms

Patients may present with:

  • sudden onset of abdominal pain
  • right lower quadrant pain and tenderness
  • absence of fever and gastrointestinal symptoms
  • encountered in healthy patients, such as marathoners, because of low omental blood flow

Radiological Findings on CT

  • Most often located in the right lower quadrant
  • focal area of fat stranding

Treatment

This condition is often self-limiting and can be managed conservatively. Conservative treatment may include:

  • antibiotics
  • anti-inflammatory medication
  • pain medication

Keywords: omental infarction;abdominal pain;conservatively

Leave a Reply